Order Form — Katrina Salmon Floral

Mother’s day orders

Hello!
Thank you for finding your way to our Mother’s Day order form! Please fill out all information and we will be in contact to confirm and provide further delivery & payment information.

*please note that all payment must be provided by e-transfer or cash at pickup

Name

First Name

Last Name

Phone

(###)

###

####

Please select an arrangement option:

Please select a colour scheme:

Please select a delivery option:

Recipient Contact Information

Please provide name, phone number and address of the recipient - not required for local pickup*

Card message:

Any other information you'd like to share?

Special requests will be considered but not guaranteed*